Adventhealth Rollins Brook
608 North Key Avenue, Lampasas, TX · AdventHealth · · NPI 1750392916
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Srs linear based CPT 77372 | not published | not published | $4,195.81 – $4,195.81 | 1 |
| Srs multisource CPT 77371 | $98,343.21 | $98,343.21 | $4,195.81 – $4,195.81 | 1 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,481.66 – $4,826.69 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $336.96 – $4,826.69 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $532.65 – $532.65 | 1 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,270.83 – $4,826.69 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $348.27 – $348.27 | 1 |
| Staph a dna amp probe CPT 87640 | not published | not published | $31.58 – $135.10 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $432.89 – $432.89 | 1 |
| Stem cells total count CPT 86367 | not published | not published | $70.00 – $299.45 | 2 |
| Stenger test pure tone CPT 92565 | not published | not published | $128.71 – $128.71 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $1,869.60 – $1,869.60 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $8,715.36 – $19,924.96 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $8,715.36 – $12,385.60 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,414.09 – $4,826.69 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $8,715.36 – $19,924.96 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $216.45 – $216.45 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,865.93 – $4,826.69 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,671.94 – $1,671.94 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.23 – $0.23 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.58 – $4.58 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $697.81 – $4,826.69 | 2 |
| St evaluate speech sound production CPT 92522 | not published | not published | $360.75 – $360.75 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $509.73 | $509.73 | $768.69 – $768.69 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $353.82 – $353.82 | 1 |
| St evaluation swallow function CPT 92610 | $439.28 | $439.28 | $285.82 – $285.82 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,149.19 – $7,079.01 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $552.48 – $552.48 | 1 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $1,091.13 – $1,091.13 | 1 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $552.48 – $552.48 | 1 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $552.48 – $552.48 | 1 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $628.89 – $4,826.69 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $955.13 | $955.13 | $17.59 – $4,826.69 | 2 |
| Strapping of chest CPT 29200 | not published | not published | $23.46 – $4,826.69 | 2 |
| Strapping of elbow or wrist 29260 CPT 29260 | $408.08 | $408.08 | $41.79 – $4,826.69 | 2 |
| Strapping of hand or finger CPT 29280 | not published | not published | $41.79 – $4,826.69 | 2 |
| Strapping of hip CPT 29520 | not published | not published | $68.76 – $4,826.69 | 2 |
| Strapping of knee CPT 29530 | $371.23 | $371.23 | $136.29 – $4,826.69 | 2 |
| Strapping of toes 29550 CPT 29550 | $530.51 | $530.51 | $68.76 – $4,826.69 | 2 |
| Strep a ag ia CPT 87430 | not published | not published | $15.13 – $64.72 | 2 |
| Strep a dna dir probe CPT 87650 | not published | not published | $18.05 – $77.19 | 2 |
| Strep a dna quant CPT 87652 | not published | not published | $37.58 – $160.78 | 2 |
| Strep b assay w/optic CPT 87802 | not published | not published | $11.46 – $49.01 | 2 |
| Strep b dna amp probe CPT 87653 | not published | not published | $31.58 – $135.10 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.39 – $48.74 | 2 |
| Streptomycin injection HCPCS J3000 | not published | not published | $288.75 – $288.75 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $1,384.88 – $1,384.88 | 1 |
| Stress test pulmonary CPT 94618 | not published | not published | $419.77 – $419.77 | 1 |
| Stress tte complete CPT 93351 | not published | not published | $575.81 – $575.81 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $274.33 – $1,173.52 | 2 |
| Str markers specimen anal CPT 81265 | not published | not published | $209.76 – $897.32 | 2 |
| St treatment speech individual CPT 92507 | $386.60 | $386.60 | $309.42 – $309.42 | 1 |
| St treatment swallow dysfunction/oral CPT 92526 | $332.43 | $332.43 | $338.57 – $338.57 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $394.79 – $4,826.69 | 2 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $1,559.56 – $1,559.56 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $58.20 – $4,826.69 | 2 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $96.54 – $4,826.69 | 2 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $488.41 – $488.41 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $467.58 – $467.58 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $4,826.69 – $4,826.69 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,421.81 – $7,079.01 | 2 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $8,715.36 – $14,875.89 | 2 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,865.93 – $4,826.69 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $128.35 | $128.35 | $5.12 – $5.12 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,721.61 – $4,826.69 | 2 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,721.61 – $4,826.69 | 2 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,721.61 – $4,826.69 | 2 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,028.43 – $4,826.69 | 2 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.38 – $44.39 | 2 |
| Sugars single quant CPT 84378 | not published | not published | $10.38 – $44.39 | 2 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $9,776.40 | $9,776.40 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $72.22 | $72.22 | $93.13 – $93.13 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $146.72 – $146.72 | 1 |
| Supprelin la implant HCPCS J9226 | not published | not published | $141,483.73 – $141,483.73 | 1 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $301.07 – $301.07 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $260.84 – $260.84 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,930.23 – $6,108.74 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,037.93 – $4,826.69 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,039.28 – $4,826.69 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,773.18 – $7,079.01 | 2 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,505.54 – $4,826.69 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,477.44 – $8,715.36 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,826.69 – $7,477.44 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,289.53 – $8,715.36 | 2 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,697.44 – $4,826.69 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,391.11 – $4,826.69 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $982.40 – $4,826.69 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,024.41 – $4,826.69 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,686.68 – $2,991.88 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $369.31 | $369.31 | $88.51 – $88.51 | 1 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $88.51 – $88.51 | 1 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $659.75 | $659.75 | $190.46 – $190.46 | 1 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,149.92 | $1,149.92 | $190.46 – $190.46 | 1 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,114.69 | $1,114.69 | $1,091.13 – $1,091.13 | 1 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $2,418.57 – $2,418.57 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.